Provider Demographics
NPI:1437241577
Name:PREFERRED HOME HEALTH SERVICES, LLC.
Entity Type:Organization
Organization Name:PREFERRED HOME HEALTH SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:414-774-3901
Mailing Address - Street 1:9800 W BLUEMOUND RD
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4353
Mailing Address - Country:US
Mailing Address - Phone:414-774-3901
Mailing Address - Fax:414-774-0356
Practice Address - Street 1:9800 W BLUEMOUND RD
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-4353
Practice Address - Country:US
Practice Address - Phone:414-774-3901
Practice Address - Fax:414-774-0356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI527235251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41535700Medicaid
WI527235Medicare ID - Type UnspecifiedHOME HEALTHCARE AGENCY